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Nurse-Patient Dyads
Nurse-Patient Dyads: Linking Nurse & Patient Characteristics to Outcome

Lourdes Marie S. Tejero, PhD, RN

University of the Philippines, College of Nursing, The Philippines

Keywords: nurse-patient dyads, nurse-patient bonding, nurse-patient relationship, patient satisfaction, methods triangulation


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Abstract

The main goal of this study is to test the proposed theory asserting that the nurse-patient dyad mediates between
nurse-patient characteristics and patient satisfaction. This research paper utilized methods triangulation. Both quantitative and qualitative techniques were employed to describe the phenomenon of the nurse-patient dyad. A total of 420 nurses and patients participated in the quantitative portion of this study. Through path analysis, the intermediary role of the nurse-patient dyad was supported. In the qualitative part, manifestations of openness and engagement from nurses and patients were identified. The formation of the different dyads was likewise explored.

 

Introduction

The patient’s sense of well-being, more importantly for the terminally ill, is nestled in the interaction between nurse and patient. The nurse and patient form a dyad as they interact. The outcome, i.e. patient satisfaction, ensue not from the characteristics of the nurse and patient per se but from the nurse-patient dyad. 

The specific aims of this study are to (1) validate the Nurse-Patient Dyad Instrument (NPDI) that will be used to categorize the different nurse-patient dyads (2) determine the intermediary effect of nurse-patient dyads betweennurse-patient characteristics and patient satisfaction through path analysis; (3) describe further the different dyads in terms of factors affecting their formation and development based on the experiences of nurses and patients through a qualitative research approach.

 

Methodology

This study utilized methods triangulation. Both quantitative and qualitative techniques were employed to describe the phenomenon of the nurse-patient dyad. The quantitative aspect tested the model indicating the relationship between nurse & patient characteristics to patient satisfaction, mediated by the nurse-patient dyad. The qualitative part which used the critical incident technique (Byrne, 2001) provided in-depth information on the nurse-patient dyad, adding more information to the quantitative findings.


 


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